Organization · Type 2 NPI
Wye Oak Clinic, Inc.
General Practice Physician · Halethorpe, MD
NPI number
1174913677
Active
Practice location
1937 Lansdowne Rd
Halethorpe, MD 21227
Fax (410) 536-0231
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist | 106H00000X | None listed |
| Family Medicine Physician | 207Q00000X | None listed |
| Internal Medicine Physician | 207R00000X | None listed |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | None listed |
| Infectious Disease Physician | 207RI0200X | None listed |
| Pulmonary Disease Physician | 207RP1001X | None listed |
| Psychiatry Physician | 2084P0800X | None listed |
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
About NPI 1174913677
Wye Oak Clinic, Inc.'s National Provider Identifier is 1174913677, issued on Feb 4, 2015. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Halethorpe, MD. The record was last updated on Feb 4, 2015.